Pediatrics: Interventions: Spina Bifida

Question 1

Spina Bifida

Answer 1

• Neural tube defect resulting in vertebral and or spinal cord malformation

Question 2

Spina Bifida: Detection

Answer 2

• Amniotic alpha fetoprotein
• Amniotic Acetylcholinesterase
• Sonogram

Question 3

Spina Bifida: Meningocele

Answer 3

• Cyst that contains cerebrospinal fluid and intact spinal cord

Question 4

Spina Bifida: Myelomeningocele

Answer 4

• Cyst that contains cerebrospinal fluid and herniated cord tissue

Question 5

Spina Bifida: Factors

Answer 5

• Maternal Decreased folic acid
• Infection
• Hot tub soaks
• Exposure to alcohol and valproic acid

Question 6

Spina Bifida: Hydrocephalus

Answer 6

• Related to neural tube defects

- Shunting relieves pressure

Question 7

Spina Bifida: Arnold-Chiari Malformation Type II

Answer 7

• Cerebellum and brainstem are pushed through the foramen magnum

Question 8

Spina Bifida: Allergies

Answer 8

• Latex allergy

Question 9

Spina Bifida: Muscle imbalances

Answer 9

• Kyphoscoliosis
• Shortened hip flexors and adductors
• Flexed knees
• Pronated feet

Question 10

Spina Bifida: Functional Limitations

Answer 10

• High lumbar lesions impacting hip flexors make gait possible only via reciprocating gait orthosis